{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T16:57:54Z","timestamp":1791824274558,"version":"4.3.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T00:00:00Z","timestamp":1697155200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004484","name":"Tehran University of Medical Sciences and Health Services","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004484","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The International Journal of Lower Extremity Wounds"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>\n                    Diabetic foot ulcers (DFUs) are classified as hard-to-heal wounds, which occur in approximately 15% of diabetic patients. Several interventions have shown efficacy in reducing the risk of amputation among patients with DFU, including timely diagnosis and management of infection and ischemia, debridement of necrotic tissues, reducing mechanical pressure on ulcers, and patient education. One major challenge in the management of DFUs is optimizing wound care to improve healing outcomes. Recently, interdisciplinary approaches proposed a new generation of wound dressing which increased efficacy and significantly decreased the healing time. The current study assessed the healing characteristics of chronic DFUs treated with lyophilized amniotic membrane gel (LAMG) in combination with standard care, versus a placebo hydrogel with standard care. In total, 18 patients (8 male, 10 female) were randomly assigned to the control group, which received standard care and a gelatin scaffold (placebo), or the intervention group, which received standard care along with LAMG. We evaluated the reduction in wound size and assessed the patient's health-related quality of life over 9 weeks. In the LAMG group (n\u2009=\u20099) and the Placebo group (n\u2009=\u20099), the wounds were reduced in size by a mean of 73.4%\u2009\u00b1\u200915.3% and 13.1%\u2009\u00b1\u200910.1%, respectively (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.008). Patients treated with LAMG demonstrated significant improvements in the scores related to physical function, physical limitation, physical pain, general health, social function, emotional problems, and energy levels compared to the control group. The findings of this study indicate that using the LAMG with standard care significantly enhances wound healing.\n                  <\/jats:p>","DOI":"10.1177\/15347346231204246","type":"journal-article","created":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T03:17:31Z","timestamp":1697167051000},"page":"163-173","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["The Therapeutic Efficacy of Freeze-Dried Human Amniotic Membrane Allograft Gel for Diabetic Foot Ulcers: A Phase-1 Clinical Trial"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-9809-1252","authenticated-orcid":false,"given":"Aida","family":"Rezaei-Nejad","sequence":"first","affiliation":[{"name":"Tehran University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad-Amir","family":"Amirkhani","sequence":"additional","affiliation":[{"name":"Tehran University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alireza","family":"Ebrahimi","sequence":"additional","affiliation":[{"name":"Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyyed-Mojtaba","family":"Ghorani","sequence":"additional","affiliation":[{"name":"Islamic Azad University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emad","family":"Alamoutifard","sequence":"additional","affiliation":[{"name":"Mayo Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad-Ali","family":"Nilforoushzadeh","sequence":"additional","affiliation":[{"name":"Tehran University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0396-676X","authenticated-orcid":false,"given":"Mahsa","family":"Mollapour-Sisakht","sequence":"additional","affiliation":[{"name":"Tehran University of Medical Sciences"},{"name":"Tehran University of Medical Sciences"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,10,13]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2019.107843"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2021.01.017"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/2042018817744513"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.dsx.2015.04.007"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.21.5.855"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000016877"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.4239\/wjd.v7.i7.153"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/wrr.12391"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13287-019-1212-2"},{"issue":"6","key":"e_1_3_3_11_2","first-page":"672","article-title":"Therapeutic effects of stem cells in different body systems, a novel method that is yet to gain trust: A comprehensive review","volume":"21","author":"Ebrahimi A","year":"2021","unstructured":"Ebrahimi A, Ahmadi H, Pourfraidon Ghasrodashti Z, et al. Therapeutic effects of stem cells in different body systems, a novel method that is yet to gain trust: A comprehensive review. Bosn J Basic Med Sci. 2021;21(6):672\u2013701.","journal-title":"Bosn J Basic Med Sci"},{"issue":"10","key":"e_1_3_3_12_2","first-page":"299","article-title":"Scientific and clinical support for the use of dehydrated amniotic membrane in wound management","volume":"24","author":"Fetterolf DE","year":"2012","unstructured":"Fetterolf DE, Snyder RJ. Scientific and clinical support for the use of dehydrated amniotic membrane in wound management. Wounds. 2012;24(10):299\u2013307.","journal-title":"Wounds"},{"key":"e_1_3_3_13_2","first-page":"53","article-title":"Amniotic membrane-derived stem cells: Immunomodulatory properties and potential clinical application","volume":"7","author":"Insausti CL","year":"2014","unstructured":"Insausti CL, Blanquer M, Garc\u00eda-Hern\u00e1ndez AM, Castellanos G, Moraleda JM. Amniotic membrane-derived stem cells: Immunomodulatory properties and potential clinical application. Stem Cells Cloning. 2014;7:53\u201363.","journal-title":"Stem Cells Cloning"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-017-13310-6"},{"issue":"1","key":"e_1_3_3_15_2","doi-asserted-by":"crossref","DOI":"10.1016\/S0305-4179(97)90099-1","article-title":"Management of partial-thickness burn wounds by amniotic membrane: A cost-effective treatment in developing countries","volume":"23","author":"Ramakrishnan KM","year":"1997","unstructured":"Ramakrishnan KM, Jayaraman V. Management of partial-thickness burn wounds by amniotic membrane: A cost-effective treatment in developing countries. Burns. 1997;23(Suppl 1):S33\u2013S36.","journal-title":"Burns"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10561-006-9016-x"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-004-1014-5"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/jbm.b.34782"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.2217\/cer-2019-0142"},{"issue":"3","key":"e_1_3_3_20_2","first-page":"70","article-title":"A prospective, randomized, multicenter, controlled evaluation of the use of dehydrated amniotic membrane allograft compared to standard of care for the closure of chronic diabetic foot ulcer","volume":"28","author":"Snyder RJ","year":"2016","unstructured":"Snyder RJ, Shimozaki K, Tallis A, et al. A prospective, randomized, multicenter, controlled evaluation of the use of dehydrated amniotic membrane allograft compared to standard of care for the closure of chronic diabetic foot ulcer. 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